锝-99m高锝酸盐单光子发射计算机断层扫描/计算机断层扫描（Tc-99m Pertechnetate SPECT/CT）在腹股沟疝修补术后睾丸梗死诊断中的应用价值
Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy.
作者信息
Kim Myoung Hyoun, Kim Chang Guhn, Park Soon-Ah, Kim Dae-Weung
机构信息
Department of Nuclear Medicine, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science, 895, Muwang-ro, Iksan, 54538 Republic of Korea.
出版信息
Nucl Med Mol Imaging. 2017 Dec;51(4):357-359. doi: 10.1007/s13139-016-0469-y. Epub 2017 Jan 31.
A 77-year-old male underwent open repair for a right indirect inguinal hernia and complained of right scrotal pain on the third postoperative day. Color Doppler imaging revealed decreased blood flow with heterogeneous hypoechogenicity in the right testis. A Tc-99m pertechnetate testicular scan showed diffuse hyperemia and increased uptake in the right scrotum. Additional SPECT/CT revealed a photon defect in the right testicle with increased uptake in the peri-testicular area. A subsequent operation revealed a large hematoma in the right spermatic cord and consequent right testicular infarction, and right orchiectomy was performed.
一名77岁男性接受了右侧腹股沟斜疝开放修补术，术后第三天诉右侧阴囊疼痛。彩色多普勒成像显示右侧睾丸血流减少，回声不均匀减低。锝-99m高锝酸盐睾丸扫描显示右侧阴囊弥漫性充血，摄取增加。额外的SPECT/CT显示右侧睾丸有光子缺损，睾丸周围区域摄取增加。随后的手术发现右侧精索有巨大血肿，继而导致右侧睾丸梗死，并进行了右侧睾丸切除术。
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